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Grady B. Core, M.D., P.C.

Details

Name: Grady B. Core, M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 16 Jul 2002 (22 years ago)
Entity Number: 000-224-118
Register Number: 000224118
County: Shelby
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 1 INVERNESS PKWY STE 100BIRMINGHAM, AL 35242
Registered Office Street Address ZIP Code: 35242
Authorized Capital: $1,000

Activities PRACTICE MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184761355 2007-01-30 2020-08-22 PO BOX 55398, BIRMINGHAM, AL, 352555398, US 2100 16TH AVE S, SUITE 111 - ASH PLACE, BIRMINGHAM, AL, 352055021, US

Contacts
Phone +1 205-397-2100
Fax 2053972101

Authorized person
Name GRADY B. CORE
Role PRESIDENT
Phone 2053972100

Taxonomy
Taxonomy Code 208200000X - Plastic Surgery Physician
License Number 15982
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GRADY B. CORE, M.D., P.C. 401K PROFIT SHARING PLAN 2017 721530059 2018-08-27 GRADY B. CORE, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2053972100
Plan sponsor’s address 3595 GRANDVIEW PKWY., SUITE 150, BIRMINGHAM, AL, 35243
GRADY B. CORE, M.D., P.C. 401K PROFIT SHARING PLAN 2016 721530059 2017-09-18 GRADY B. CORE, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2053972100
Plan sponsor’s address 2100 16TH AVENUE SOUTH, SUITE 111, BIRMINGHAM, AL, 352055066
GRADY B. CORE, M.D., P.C. 401K PROFIT SHARING PLAN 2015 721530059 2016-10-17 GRADY B. CORE, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2053972100
Plan sponsor’s address 2100 16TH AVENUE SOUTH, SUITE 111, BIRMINGHAM, AL, 352055066
GRADY B. CORE, M.D., P.C. 401K PROFIT SHARING PLAN 2014 721530059 2015-06-23 GRADY B. CORE, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2053972100
Plan sponsor’s address 2100 16TH AVENUE SOUTH, SUITE 111, BIRMINGHAM, AL, 352055066

Signature of
Role Plan administrator
Date 2015-06-23
Name of individual signing GRADY B. CORE, M.D.
GRADY B. CORE, M.D., P.C. 401K PROFIT SHARING PLAN 2013 721530059 2014-05-29 GRADY B. CORE, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2053972100
Plan sponsor’s address 2100 16TH AVENUE SOUTH, SUITE 111, BIRMINGHAM, AL, 352055066

Signature of
Role Plan administrator
Date 2014-05-29
Name of individual signing GRADY B. CORE, M.D.
Role Employer/plan sponsor
Date 2014-05-29
Name of individual signing GRADY B. CORE, M.D.
GRADY B. CORE, M.D., P.C. 401K PROFIT SHARING PLAN 2012 721530059 2013-07-16 GRADY B. CORE, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2053972100
Plan sponsor’s address 2100 16TH AVENUE SOUTH, SUITE 111, BIRMINGHAM, AL, 352055066

Signature of
Role Plan administrator
Date 2013-07-16
Name of individual signing GRADY B. CORE, M.D.
Role Employer/plan sponsor
Date 2013-07-16
Name of individual signing GRADY B. CORE, M.D.
GRADY B. CORE, M.D., P.C. 401K PROFIT SHARING PLAN 2011 721530059 2012-05-31 GRADY B. CORE, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2053972100
Plan sponsor’s address 2100 16TH AVENUE SOUTH, SUITE 111, BIRMINGHAM, AL, 352055066

Plan administrator’s name and address
Administrator’s EIN 721530059
Plan administrator’s name GRADY B. CORE, M.D., P.C.
Plan administrator’s address 2100 16TH AVENUE SOUTH, SUITE 111, BIRMINGHAM, AL, 352055066
Administrator’s telephone number 2053972100

Signature of
Role Plan administrator
Date 2012-05-31
Name of individual signing GRADY B. CORE, M.D.
Role Employer/plan sponsor
Date 2012-05-31
Name of individual signing GRADY B. CORE, M.D.
GRADY B. CORE, M.D., P.C. 401K PROFIT SHARING PLAN 2010 721530059 2011-10-13 GRADY B. CORE, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2053972100
Plan sponsor’s address 2100 16TH AVENUE SOUTH, SUITE 111, BIRMINGHAM, AL, 352055066

Plan administrator’s name and address
Administrator’s EIN 721530059
Plan administrator’s name GRADY B. CORE, M.D., P.C.
Plan administrator’s address 2100 16TH AVENUE SOUTH, SUITE 111, BIRMINGHAM, AL, 352055066
Administrator’s telephone number 2053972100

Signature of
Role Plan administrator
Date 2011-10-10
Name of individual signing GRADY B. CORE, M.D.
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing GRADY B. CORE, M.D.
GRADY B. CORE, M.D., P.C. 401K PROFIT SHARING PLAN 2009 721530059 2010-10-07 GRADY B. CORE, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2053972100
Plan sponsor’s address 2100 16TH AVENUE SOUTH, SUITE 111, BIRMINGHAM, AL, 352055066

Plan administrator’s name and address
Administrator’s EIN 721530059
Plan administrator’s name GRADY B. CORE, M.D., P.C.
Plan administrator’s address 2100 16TH AVENUE SOUTH, SUITE 111, BIRMINGHAM, AL, 352055066
Administrator’s telephone number 2053972100

Signature of
Role Plan administrator
Date 2010-10-07
Name of individual signing GRADY B. CORE, M.D.
Role Employer/plan sponsor
Date 2010-10-07
Name of individual signing GRADY B. CORE, M.D.
GRADY B. CORE, M.D., P.C. 401K PROFIT SHARING PLAN 2009 721530059 2010-10-07 GRADY B. CORE, M.D., P.C. 6
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2053972100
Plan sponsor’s address 2100 16TH AVENUE SOUTH, SUITE 111, BIRMINGHAM, AL, 352055066

Plan administrator’s name and address
Administrator’s EIN 721530059
Plan administrator’s name GRADY B. CORE, M.D., P.C.
Plan administrator’s address 2100 16TH AVENUE SOUTH, SUITE 111, BIRMINGHAM, AL, 352055066
Administrator’s telephone number 2053972100

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing GRADY B. CORE, M.D.
Role Employer/plan sponsor
Date 2010-10-06
Name of individual signing GRADY B. CORE, M.D.

Agent

Name Role
CORE, GRADY B Agent

Incorporator

Name Role
CORE, GRADY B Incorporator

Related by officers

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Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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